Are you currently studying under the same CCNATS member you originally registered as your teacher?

Yes No

Are you currently studying under a CCNATS member?
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Current NATS Teacher

Current NATS Teacher's E-mail

Current NATS Teacher's Phone Number

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Area Code Phone Number

You may become a CCSNATS member if you are studying under someone who is not a CCNATS member, however you must be sponsored by two current CCSNATS members.

If you don't know any current CCSNATS members, please feel free to contact the CCSNATS Board at info@chicagostudentnats.org and they will find sponsors for you.

Please list your two CCSNATS Sponsors:

Please read the below and select the appropriate response.

I, the applicant, do hereby consent and agree that the Chicago Chapter of Student NATS (CCSNATS), its employees, or agents have the right to take photographs, videotape, or digital recordings of me as long as I am a member, and to use these in any and all media, now or hereafter known, and exclusively for the purpose of CCSNATS. I further consent that my name and identity may be revealed therein or by descriptive text or commentary.

I do hereby release to the Chicago Chapter of Student NATS, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.

I understand that there will be no financial or other remuneration for recording or photographing me, either for initial or subsequent transmission or playback.

I also understand that the Chicago Chapter of Student NATS is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.

I represent that I am at least 18 years of age or am represented by my parent/guardian (must include information below), have read and understand the foregoing statement, and am competent to execute this agreement.